<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370810636
Report Date: 05/07/2019
Date Signed: 05/07/2019 01:16:40 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DENNY, SHIRLEY FAMILY DAY CAREFACILITY NUMBER:
370810636
ADMINISTRATOR:DENNY, SHIRLEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 264-4159
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:12CENSUS: 2DATE:
05/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Shirley DennyTIME COMPLETED:
01:25 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 (3) Licensing Program Analysts (LPAs) Selina Siao and Leilani Curtis conducted an unannounced annual inspection with the Licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present at the facility were the Licensee and two-day care children including one infant. The home has a fully charged fire extinguisher size 3A40BC, smoke and carbon monoxide detector that meet requirements and are operational. Some hazardous items were under the bathroom sink cabinet and the latched/locked is not latching properly therefore accessible to children. The home does not have any bodies of water and licensee stated that the home does not have any weapon. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances. Licensee's First Aid and CPR certifications are current due expire on 11/05/2019. Children’s records were reviewed. Facility does not have an updated roster or fire drill log available for review. Licensee last conducted a drill with the children in care on 10/06/2017 which is more than six months ago.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include the bathroom, family room (main day care area), living room (napping area for infant inside playpen), kitchen and dining room. There is a fire place that has a screen to prevent children's access. The home has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: DENNY, SHIRLEY FAMILY DAY CARE
FACILITY NUMBER: 370810636
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/03/2019
Section Cited
HSC
1596.8662(4)(b)(1)
1
2
3
4
5
6
7
 On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated
1
2
3
4
5
6
7
Licensee stated that she will take the mandated child abuse online training and will submit a copy of the certificate to Licensing no later than 06/03/2019.
8
9
10
11
12
13
14
reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as licensee has not take the online mandated child abuse training, This poses a potential health and safety risk to clients in care.

8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: DENNY, SHIRLEY FAMILY DAY CARE
FACILITY NUMBER: 370810636
VISIT DATE: 05/07/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The following items were discussed with provider: Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, safe sleep for infants, best practice on supervision, never ever shake an infant, latest car seat poster and effects of lead exposure and reporting responsibilities were discussed.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu, licensee does not have verification of required immunizations available today for review.



Licensee was advised to email childcareadvocatesprogram@dss.ca.gov to request to be on the distribution list to obtain child care updates. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Community Care Licensing website is www.ccld.ca.gov.

See LIC809D for deficiencies:


A Notice of Site Visit was posted today and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: DENNY, SHIRLEY FAMILY DAY CARE
FACILITY NUMBER: 370810636
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2019
Section Cited
CCR
102417(g)(4)
1
2
3
4
5
6
7
Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
LPAs observed a bottle of


1
2
3
4
5
6
7
Licensee removed the mouthwash and the bottle of peroxide during the inspection.
8
9
10
11
12
13
14
peroxide and mouthwash under the bathroom sink with a latch that is not property latching. safety risk to clients in care. This poses a potential health and safety risk to clients in care.
8
9
10
11
12
13
14
Type B
05/27/2019
Section Cited
HSC
1597.622
1
2
3
4
5
6
7
(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
1
2
3
4
5
6
7
Licensee stated that she will get a copy of her MMR, TDAP and Flu immunization records to Licensing no later than 5/27/2019.
8
9
10
11
12
13
14
This requirement is not met as licensee's immunization records are not available for review today. This poses a potential health and
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: DENNY, SHIRLEY FAMILY DAY CARE
FACILITY NUMBER: 370810636
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2019
Section Cited
CCR
102417(9)(A)
1
2
3
4
5
6
7
Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as licensee last fire drill was conducted with the children on 10/06/2017, This poses a potential health and safety risk to clients in care.



1
2
3
4
5
6
7
Licensee stated that she will conduct a fire drill with the children in care and will submit a copy of the drill to the licensing no later than 5/20/2019.
Type B
05/08/2019
Section Cited
CCR
102417(g)(8)
1
2
3
4
5
6
7
Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as facility's roster was not updated. This poses a potential health and safety risk to clients in care.



1
2
3
4
5
6
7
Licensee updated the facility roster during today's inspection.
Type B
05/08/2019
Section Cited
CCR
102417(d)
1
2
3
4
5
6
7
The home shall provide safe toys, play equipment and materials. LPAs observed an infant rocker in the family room which is a prohibited item at the day care playroom.
1
2
3
4
5
6
7
Licensee stated that she will return the rocker back to the parent today. The rocker was put into an off limit non day care area during the visit.
8
9
10
11
12
13
14
This poses a potential health and safety risk to clients in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5